B o x 7 4 4 , M z u z u , M a l a w i ; T e l : + 2 6 5 3 1 1 6 9 0 ; F a x : + 2 6 5 3 1 1 2 1 3

Jan, 2020

Saint John of God Hospitaller Service Malawi

2019 ANNUAL REPORT

Foreword

Beloved benefactors, service users, and friends, I am delighted to present an annual report for

Saint John of God Hospitaller Services in Malawi for the year 2019.

The year 2019 was the second year for the implementation of our 2018 – 2022 Strategic Plan.

At the close of the year I am happy to report that, in spite of financial challenges, the Service

achieved most of the goals and objectives outlined for the second year of the strategic plan

implementation.

The major highlight in 2019 was the cerebration of the legacy of St John of God Hospitaller

Services in Malawi as we commemorated 25 years of hospitality. Another landmark

achievement in the year was the blessing and opening of new facilities for the St John of God

Lilongwe Services which will facilitate delivery of full mental health, counselling and

addiction service to the people of Lilongwe and surrounding areas in Central Malawi.

A lot was accomplished in various departments and aimed at promoting the Hospitaller values

in whatever we do and accompanied clients in need of Pastoral Care services. In the quest to

continuously improve child safeguarding, the organization carried out a number of child

protection initiatives with the support from KHN, Germany, which culminated in the review

of the Child Protection Policy and strengthening of our child protection systems. It should be

noted that we had the largest number of students graduating from our College of health

sciences. This demonstrates the continued quality of trainings programs that we offer.

While a lot was accomplished, sadly we still had to cut some services in prisons and other

centres due to limited funding. We experienced service interruptions due to demonstrations

following the disputed 2019 elections; our aging fleet made us incur huge costs in maintenance;

and we experienced high staff turnover especially in College and Counselling department. In

spite of this, with financial support from the Saint John of God Western European Province

through Hospitaller Services Group; Hospitaal Broeders Netherlands; KNH-Germany and

Luxembourg and the Malawi government, we were enabled to attain most of our objectives for

the year.

As we venture into 2020 we wish to thank the Board of sponsors, the Board Chairperson and

members of the Board of Management, our donors/partners and all at Hospitaller Services

Group in Dublin for their support towards our mission. We thank God for what was achieved

by His grace and in His name in the year and we look forward to 2020 with renewed hope and

expectations. Finally I offer my sincere appreciation for the dedication to values and hard work

that was exhibited by all Hospitallers across the services in Mzuzu and Lilongwe.

Charles Masulani Mwale, PhD,

CEO, St. John of God Hospitaller Services, Malawi

2019 SERVICE ANNUAL REPORT

1) Commemoration of 25 years of Hospitality in Malawi

The year 2019 was a memorable year in the history of St John of God Hospitaller Services

Malawi as we commemorated 25 years of hospitality work in Malawi through multiple

celebrations graced by The Prior General Brother Jesus Etayo; The Boards of Directors,

Provincials of West European, St Augustine’s and St Richard Pampuri Provinces; The

Archbishop of Lilongwe Archdiocese and the religious community; The Bishops of Mzuzu and

Karonga dioceses and the religious community; service users; Ministry of Health Officials;

development partners; community and religious leaders; service users and many other

stakeholders.

The commemoration activities started with the blessing and official opening of Lilongwe main

administration building, college hostels and addiction recovery center, chapel and community

house on 29th October. His Grace, Right Reverend TG Ziyaye and The Prior General Br. Jesus

Etayo conducted the blessing and inauguration respectively. On 30th October, we hosted a

Mental Health Conference under the theme “Contemporary Mental Health Issues……. together

we can.” The conference provided an opportunity to deliberate with the Ministry of Health and

other stakeholders on critical mental health issues facing the nation (maternal mental health,

suicide and addiction) and planning for the future.

The epic of our celebration was the thanksgiving Holy Mass that was celebrated at St. Peters

Cathedral in Mzuzu by Bishops of Karonga and Mzuzu dioceses followed by a reception at St

John of God College of Health Sciences on 2nd November, 2019 where the first co-workers to

join St. John of God In 1994 were recognized and given awards.

The activities gave an opportunity to staff members, invitees and clients to understand how St.

John of God has evolved in Malawi since 1994. Below are some pictures of the events.

Picture 1 & 2: The Archbishop of Lilongwe Arch Diocese, the Prior General, the Provincial, The

prior of brothers in Malawi and the parish priest of St Patrick’s parish in Lilongwe

Figure 1: The Prior General, the Provincial, the Archbishop of Lilongwe & the Prior of Mzuzu Figure 2: The Archbishop Ziyaye making his address in Lilongwe

Figure 3: Participants to the mental health conference on 30th October, 2019

Figure 5 The Prior General Delivering his speech assisted by Br Michael Newman at St Peter’s Cathedral. Left: Bishops John Ryan and Martin Mtumbuka

2) Child Protection Initiatives

In its quest to continuously improve child safeguarding, St John of God carried out a number

of child protection initiatives in the year including direct work with the children to strengthen

the children’s knowledge about child rights and child protection. The organization also carried

out a major Child Protection Policy review aimed at strengthening the policy by including a

number of parameters to respond to the emerging realities within our contexts. The review

excise was supported by the KHN National Trainer on Child Protection. Currently the final draft

of the Child Protection Policy has been developed and submitted to KNH- our child focused

programs main partner- for final review. Thirty new staff, volunteers and Brothers have been

oriented to the policy in the year. The national trainer also facilitated a number of sessions for

children, staff, and community leaders aimed at improving the general child protection

systems.

2) Pastoral Care Services

The pastoral care program carried out a number activities in the year aimed at promoting the

Hospitaller values and also accompanying clients in need of pastoral services in which 439

clients accessed pastoral care services.

3.1) Activities aimed at promotion of core values within the organization

Facilitated 26 tours (368 people) to Granada Memorial Garden this year involving staff

members, clients, interns and students on placement.

Facilitated 8 reflections on The Foundation Journey in Hospitality and the core values

in Mzuzu. 67 staff members took part in these reflections.

In order to facilitate celebration of Major Feast Days, the department organized

celebration of the Feast of Saint John of God, Co- worker’s day (Angulo) and family fun

day in 2019

3) Saint John Of God Centre – Mzuzu

Saint John of God Centre in Mzuzu continued to provide outpatient, outreach and

domiciliary treatment and care to clients within our catchment area in which 8512

clients are receiving mental health treatment at St. John of God Centre. 68% are in

OPD and 32% in outreach clinics. A majority are males (54%), while females consist of

46%. The program carried out a number of community education awareness sessions

to heighten mental health awareness including

2,230 participants/clients (696 males and 1534 females) attended community

mental health talks in ten outreach clinics in the northern region.

Maternal mental health talks were conducted in three health centres of

Kaweche, Mapale and St. Johns. A total of 601 attended -170 males and 431

females attended the talks.

Conducted a work place mental health talk to teachers at Katoto Secondary

school where 76 teachers were present (23 males and 53 females).

Conducted school mental health awareness programs in three schools namely

Mzimba Secondary, SOS and Mzgola CDSS. In these mental health awareness

talks, 239 students participated (18 males and 121 females).

Community education was conducted in three areas namely Malivenji,

Elamuleni and Mzgola. A total number of 102 participants attended (28 males

and 74 females).

On 23rd -24th July, they conducted a meeting with Karonga and Chitipa DHO staff

members (DMO, DNO, Mental health coordinator and psychiatric nurses) on different

issues including referral system, Patient data management and Collaboration.

Figure 6: A nurse giving health talk at Ekwendeni Clinic

Prison Mental health Program

Saint John of God Centre Mzuzu program provided prison mental health services in

the four prisons of Mzuzu, Nkhatabay, Mzimba and Rumphi where 46 clients with

mental illness received treatment. The mental health awareness involved 2680

prisoners.

4) House Of Hospitality - Mzuzu

The House of Hospitality admitted 211 clients (139 males and 72 females) in in 2019. Of these,

111 were readmissions and 100 were new patients and this demonstrates a drop in admission

from 230 in 2018. The Centre for Living continued to provide tailor made clients rehabilitation

services with 25 clients benefitting from the centre.

The following are a highlight of activities carried out in the House of Hospitality in 2019;

To strengthen response to emergencies, two CPR sessions were conducted where most

staff members attended. External facilitators (anaesthetist) offered intensive hands-on

training to all medical staff and demonstrated the use of a defibrillator.

Six refresher sessions on medical emergencies were conducted to members of staff

and topics included Diabetes Mellitus, animal/ reptile bites, Hypertension and

Tuberculosis. An average of 30 participants were in attendance (staff and students).

Figure 7: Guardians meeting in Ekwendeni.

5) Addiction Recovery Programme

The Venegas Centre in Mzuzu has served individuals struggling with addictions in 2019. Overall,

133 clients accessed services of which 120 were males and thirteen females. The program also

carried out a number of activities in the year aimed at enhancing access and improving

addiction recovery services. These included:

Sourced drug test kits (10 panel drug test kits) that test 10 different drugs; thus,

Cannabis, Cocaine, Opioids, Benzodiazepines, Amphetamines tryclic antidepressants.

Staff were oriented on the use of the test kits and the antidotes.

Purchased antidotes for opioids drugs and Nicotine gums and parches for Nicotine

Replacement Therapy.

Facilitated formation of various Alcohol Anonymous (AA) groups and sessions across

the country

6) The Child Development Centre, Mzuzu

The Centre continued to provide services to children with intellectual and physical disabilities

in Mzuzu and surrounding communities. In the year, a total of 493 children received services

from the Child Development Centre. Statistically, 62 children were in Portage program, 53 in

Sensory Motor rehabilitation groups, 88 in Elvira special needs schools and 25 in day care class

(respite). Out of 265 children who are on medication in the program 84 are being treated for

epilepsy and the remaining ones are treated for both epilepsy and psychiatric disorders like

ADHD.

Other activities that were carried out by the Child Development Centre included:

Training of teachers in mainstream schools who enrol Elvira children on management

and care of the physiotherapy equipment used by learners in schools on 23/02/2018

and on 14/03/2019. A total number of 45 teachers and head teachers attended the

training.

The department, in liaison with Umoza, conducted stakeholder training to strengthen

child protection systems in the community on 25th May 2019.

Figure 8: Elvira learner receives certificate during the graduation- Mzuzu University Children Library staff was the guest of honour

7) UMOZA CHILDREN PROGRAMME

In 2019, the project registered a total number of 746 children. Among these children, 426 were

boys and were 320 girls. Ching’ambo Outreach Centre had the highest number of children

(191), seconded by Kavibale (187) and Masasa (188) while the drop in Centre registered 180

children. In terms of education, 561 of the children are in primary schools, 147 in secondary

schools, eleven in the learning support class while eleven are taking different vocational

courses at the institute of vocational training (IVT). Comparatively, there has been a slight

decrease in the total number of children this year unlike in 2018 which had 753 beneficiary

children. The project also carried out a number of activities in the year which included the

following:

Strengthening its activity base to ensure sound child protection in the communities

within the project’s catchment area. In this regard, on 20th February the project

conducted a session with school clubs at Masasa primary school.

In conjunction with the district social welfare office, on 7th, 9th, and 15th May the

program team conducted three child rights sessions at Mzuzu CCAP primary school,

Ching’ambo primary school and Mchengautuba CDSS respectively.

On the 8th of June the department in collaboration with CDC conducted child rights

awareness campaigns at Luwinga market which was celebrated under the theme ‘’

Chikaya chiwemi chikutuma wana ku sukulu’’ (A good village sends its children to school).

The campaign was in response to increasing school absenteeism among children in the

area

8.2) Children and Education

Presently the program is supporting 152 children at secondary level through the bursary

program of which 62 are girls and 84 are boys. 46 learners sat for the Primary School Leaving

Certificate of Education (PSCLE) of which twenty (sixteen girls and four boys) have been

selected to various government secondary school and 26 got general passes. Also two girls

have been selected to boarding schools (Karonga girls and Ludzi secondary school). Further, a

total number of 33 children sat for the Malawi School Certificate of Education (MSCE) of which

14 passed whilst 19 did not do well. Among the 14, a girl from Ching’ambo Centre scored 13

points. Meanwhile 17 children have been attending various courses with SJOG Institute of

Vocational Training.

Figure 9: Child rights session in school clubs

8) Institute Of Vocational Training

The Institute of Vocational Training continued to offer vocational skills training to vulnerable

youths from within our catchment area. 211 students were enrolled into the program and 50%

of students attended classes in the resource centre program to improve their literacy and

numeracy skills.

Review of vocational skills training in prisons: The Institute of Vocational, through external

consultants, evaluated the Vocational Skills Training facilitated in the six prisons. The results

showed that the project was relevant, effective and fruitful in addressing numerous needs of

inmates. The institute also conducted exit meetings with officials of the six prisons and handed

over vocational skills training equipment in the second quarter. So far, the program has trained

24 warders and 450 inmates in various vocational skills so far.

Communication with trainees with hearing impairment

The program facilitated sign language training for staff and trainees, using resident trainees

who graduated from Embangweni School of Deaf. This has yielded some very positive results

in that 35 trainees are now able to communicate to each other using sign-language both in

class as well as outside classrooms. These trainees have also assisted in interpreting the

language to official visitors, morning assemblies, and other social groupings.

Figure 10: Sign language class in progress

Meeting with relevant business value chain actors to increase revenue for the institution: The

Centre had a discussions with GIZ to support young women in Horticulture as one way of

developing self-reliance. The initiative was adopted by GIZ and to kick start the initiative, they

requested St. John of God to make a budget for Horticulture related activities for them to

support and this initiative will be implemented in 2020.

9) Tovwilane Services For The Elderly

The Tovwilane Elderly Service program has facilitated the enrolment of 733 elderly persons

(462 females and 271 males). The Elderly centers also carried out a number of activities

including the following;

Conducted meetings with chiefs from Masasa, Kaviwale and Nkhorongo on 2nd to 5th

April 2019 to enhance the elderly persons’ welfare within the communities. More than

80 chiefs from all catchment areas attended the meeting and this has enhanced

understanding of issues affecting elderly persons.

The project has facilitated training to guardians and community committees in food

handling, preparations and appropriate storage to enhance nutritional status of service

user with over 65 guardians and community committees as participants.

Figure 11: The service users teaching sessions

Figure 12: Community leaders meeting in Masasa

10) PSYCHO SOCIAL COUNSELLING

The program provided counselling services to the clients within the service’s departments and

also the members of the general public. A total of 1934 clients were offered counselling

services across SJoG departments. Among 1707 clients who accessed HTC services, 6% were

tested HIV positive. The team further carried out other activities which including:

Made a presentation at Saint John of God Employee Wellness awareness function.

oriented 35 students of Ekwendeni College of Nursing, Saint John’s Institute of Health

Sciences and Saint John of God College to psychosocial counselling services to promote

transformative learning

11) Self Help Groups

In 2019 the SHG Approach continued to experience growth in the number of groups and also

beneficiary women. The first batch had 371 groups with 7420 women participating in 2019

against 313 groups with 5321 women in the SGHs in 2018. In the second batch, the number of

SHGs increased from 183 in 2018 to 214 SHGs in 2019. The number of women participating in

the SHGs in the second batch grew to 4280 in 2019 from 3710 in 2018. In total there are 585

SHGs with a total of 11, 700 women. These women have a total of 30, 460 children which

comprise of 13, 415 boys and 17, 045 girls. The groups currently have MK146, 317, 500 as total

capital. During the year, the project also carried out a number of activities which included the

following:

Conducted a training for the newly formed Federation from 23rd and 24th February

2019.

Facilitated a second Federation meeting on 1st March 2019 aimed at building the

capacity of the Federation to come up with a 6 months Action Plan

Facilitated a third Federation meeting for a formation of a 6 months Action Plan and

budget.

Figure 13: Federation strengthening training

Community Based Vocational Skills Training:

Four skill trades provided to the youth: Bricklaying, Tailoring, Carpentry and Welding

and Fabrication

62 youths have been enrolled and there is good gender representation in the trades

In the second batch, four trades have been facilitated as follows: Motor Cycle

Mechanics with (9 trainees), Art and Craft or Design and Print (6 trainees), Basic

Electronics repairs (6 trainees) and Plumbing (8 trainees).

Figure 14: Youth participating in Community Based vocational skills training

12) SAINT JOHN OF GOD COLLEGE OF HEALTH SCIENCES

Saint John of God College Health Sciences continued to offer Bachelor of Science Clinical

Medicine Mental Health and BSC Mental Health/ psychiatric Nursing. The college also

continued to train psychosocial counsellors at a University diploma level and generic registered

nurses also at a University diploma level. Currently the College has a total of 203 (112 males

and 91 females).

The college conducted Self-assessment during first quarter to assess its readiness for

accreditation with the National Council for Higher Education. Report of the self-assessment was

presented to the Senior Management and Board of Directors.

The college also finalised curriculum development for the BSc general nursing program and this

was submitted to the Nurses and Midwives Council of Malawi for review and approval

2019 Graduation: Saint John of God College of Health Sciences held its 11th Congregation to

award degrees and diplomas on 14th of June, 2020. On this auspicious occasion, 71 students

graduated with Diploma in Nursing (Registered Nurse), 20 students graduated with Bachelor

Science Clinical Medicine Mental Health. The graduation was presided over by the Mzuzu

University Deputy Vice Chancellor Late Professor Fred Msiska.

Figure 15: The provincial delivering his speech

Figure 16: The Deputy VC , Late Professor Fred Msiska

Figure 17: The 2019 Graduates with the dignitaries

13) Other Significant Developments

14.1) Inclusive Early Childhood Care and Development Project award

In 2019, Save the Children awarded SJOG with a project to implement an Inclusive Early

Childhood Care and Development Project in Mzimba South area. SJOG has since opened a

satellite office in Mzimba and also recruited the staff for this project. So far there has been

very good collaboration with Save the Children which has led to the successful implementation

of project activities in the last three months. Some of the activities that have been carried out

so far included:

Training of 715 members of Centre Management Committees (CMCs) and

parents/guardians on production of play and learning materials fitting the needs of

children

Training of 715 local leaders and CMC in development and management of IGAs at

cluster level (5 people per CBCC)

Figure 18: Children Play material production training for CMCs

Figure 19: Play material produced during the training

14) Visit by KNH Germany

The KNH team from Germany visited the services from 16th to 17th of September 2019. Among

other things, they visited the Child Development Centre and also some selected children in the

Portage Program within their homes. The visitors also took time to see the children in the

Umoza Children Project in Masasa. The visitors, who were accompanied by the KNH Country

Coordinator Dr. Anderson Kamwendo who also interacted with the women in the Self Help

Group approach especially those in the federation.

Figure 20: KNH visitors with the Federation women

15) Visit by KNH Luxemburg

On 24th October, 2019, David Immer from KNH Luxemburg visited the Service to appreciate

the impact that the Vocational Training Project, previously sponsored by KNH, has had amongst

the beneficiaries. David had a meeting with management before he toured the Institute of

Vocational Training where he interacted with the trainees. Later he visited the beneficiaries of

the previous project to appreciate the benefits that the project has had in improving their

livelihood. This visit culminated into an agreement to develop a new project phase for

vocational skills development among the vulnerable youths in Mzuzu.

SAINT JOHN OF GOD LILONGWE SERVICE

1.1 Reflection on Personal Journey in Hospitality

To promote authenticity of staff members to the heritage, identity, culture, ethos and values

of St. John of God, the local hospitality team which comprises of Dr Charles Masulani, Br

Michael Newman, Br Samuel Mithi, Chimwemwe Tembo, Mwawi Ng’oma and Chrispine

Kamanga, facilitated a three days reflection on personal journey in hospitality and renewing

values for fifteen new members of staff and 10 old members respectively in Lilongwe from 6th

to 8th August, 2019

Reflection on personal journey in Hospitality which is part of induction and formation for all

members of staff, facilitates individual staff members’ personal growth and enable them live

St John of God Values and incorporate them in their daily services.

Figure 21: Members show certificates after completion of the training

1.2 Strengthen collaboration with other stake holders in pastoral care services

Pastoral Care team conducted an interface meeting with 26 faith leaders from different

denominations on pastoral care approach towards mental health care and to equip them with

basic mental health information and skills in helping people with mental health problems in

their setting. Discussions during this meeting centered on pastoral care approach on mental

health, mental health and mental illness as well as services offered by Saint John of God. Issues

of an inclusive and welcoming community were emphasized to overcome stigma and shame

associated with mental health problems; Importance of multidimensional care and supporting

clients to adhere to treatment regimes.

It is hoped that the interaction has enhanced understanding of mental health and mental

illness. It has also promoted understanding of pastoral care approach on mental health among

faith leaders of various denominations and promoted understanding of services offered by

Saint John of God Hospitaller services.

Strengthening the national health system towards effective delivery of mental health care for

people with mental disorders

2.1 Improve collaboration with Lilongwe District Health Officer

Figure 22: Religious leaders during an interdenominational meeting

In the year 2019, we engaged the Ministry of health at different levels in an effort to strengthen

our partnership and collaboration. On 21st February, 2019, we held a meeting with Lilongwe

District Health Management Team (DHMT) to discuss implementation of outreach mental

health services in the district and lobby for support. Issues of medication, space and lack of

involvement of PHC staff in some clinics were discussed.

A follow up meeting was held with Lilongwe District pharmacist and Mental Health Coordinator

on 28th March, 2019 on the same and also to emphasize procurement and supply of

psychotropic medication for use in the PHC facilities where we operate outreach clinics.

On 7th June, 2019 we had a meeting with Primary Health Care (PHC) staff including pharmacy

assistants working in these PHC clinics to strengthen collaboration in provision of mental health

services in outreach clinics. Finally, we conducted a mental health orientation and refresher

trainings to all identified PHC focal persons on 18th July, 2019 to improve their understanding

of mental health, mental disorders and management.

Through these efforts we have seen a new commitment from Lilongwe District Health

Management Team and health workers at different levels to improve collaboration in

implementation of outreach mental health services. However, there is still erratic supply of

medication especially anticonvulsants. See table below for medication provided by health

centers in 2019 against the consumption;

Table 1: Drug contribution from public facilities

Clinic/Meds Chlorpromazine

100 mg

Phenobarb 30

mg

Carbamazepine

200 mg

Fluphenazine 25

mg/ml

Amitriptyline 25

mg

Haldol 5mg

Area 25 PHC

Consumption

Contribution

9,864

131,315

52,363

59

1,050

1,494

15,000 16,000 19,000 60 - -

Chiwamba

Consumption

Contribution

2,857

69,377

37,199

66

100

1,623

7,000 9,000 9,000 - - -

Lumbadzi

Consumption

Contribution

16,966

141,002

55,555

75

867

567

8,000 14,000 14,000 - - -

Mitundu

Consumption

Contribution

11,821

215,785

147,670

66

433

320

19,000 17,000 33,000 - - -

Nathenje

Consumption

Contribution

3,020

71,254

37,246

27

259

760

10,000 7,000 13,000 - - -

Nsalu

Consumption

Contribution

5,969

180,987

64,395

25

-

326

9,000 20,000 14,000 - - -

Area 18

Consumption

Contribution

14,027

28,047

17,613

60

454

237

5,000 8,000 5,000 - 900 -

Kawale

Consumption

Contribution

3,869

14,618

18,108

65

635

788

12,500 5,500 7,500 - 200 -

Kang’oma

Consumption

Contribution

6,361

73,576

36,489

27

60

289

10,000 8,000 12,000 - 200 500

Enhancing community sensitization about mental health, mental disorders and related stigma

and discrimination

a. Creating awareness on Cannabis use and screening exercise in primary schools

SJOG Lilongwe community team in collaboration with Lilongwe city assembly, district

education managers, head teachers & parents conducted a cannabis awareness session and

screening exercise in two primary schools to provide appropriate intervention to adolescents

who engage in such practice.

The exercise started in January to February, 2019 and at Mvunguti primary school, we screened

259 learners, one was found positive while 28 admitted to have once smoked cannabis. While

at Mkwichi Primary School, 97 learners were screened and four were found positive.

Psychosocial counselling and support was provided for the identified learners. This exercise

provided evidence regarding onset of use and misuse of substances and need to intensify

awareness and mental health training to this age groups. Throughout the year we continued

raising awareness on substance use and mental health in various primary and secondary

schools within the city.

Figure 23: Community nurses and some of the learners during the screening exercise

Enhancing quality of life of children with disabilities in Lilongwe through strengthening the exit

strategy for children in portage program.

In collaboration with Ministry of Gender, Disability and Children affairs, we conducted training

to 23 caregivers from various Community Based Care Centers (CBCC) in Likuni, Lilongwe to

equip them with knowledge in inclusive education, early childhood education and

management of children with disabilities. In September we conducted a follow up visits to

eighteen CBBC centers to monitor how caregivers are facilitating the process of inclusion of

children with disabilities in order to strengthen the exit strategy for children in our portage

program. The monitoring exercise established that 36 children with disabilities were enrolled

in the schools and there has been involvement of children in recreational activities, inclusive

rules and that the participants who were trained were able to orient fellow caregivers and

other staff on issues of inclusive education. This could in turn benefit more children with

disabilities from this community.

1.6 Establishment of Ginesa Child and Adolescent Psychiatry Residential Unit

During the year, the Ginesa adolescent wing was opened in Lilongwe to cater for the needs of

children and adolescents with acute symptoms of mental illness who were previously only

managed under the domiciliary care (home based care) as they could not be admitted in an

adult mental health facility for safeguarding reasons. The six bedded wing provides a secure

and conducive environment for children and adolescent clients with mental health issues

requiring residential care. Its design provides a homely environment for young clients and their

family members who will have an opportunity to spend more time during visits.

Figure 24: The Ginesa Adolescent Unit

1.7 Establishment of HIV Testing Services (HTS) in Lilongwe

In order to provide comprehensive services to all clients, we established HIV testing services

within our stress management clinic in Lilongwe in 2019. Availability of such a service has

minimized problems that were there in conducting diagnostic tests and initiate appropriate

care to clients. We liaised with Ministry of Health (MOH), HIV Unit and Lilongwe District Health

Office who certified the unit to commence HIV testing services on 24th October, 2019. This

followed a refresher course of psychosocial counselors and clinicians who are responsible for

providing the service.

Members of staff, clients and the community within the hospital’s catchment area have an

access now to HTC services. Establishment of such a service was the first step towards having

an Anti-Retroviral Therapy clinic within the compound to enhance access for both staff and

clients.

1.8 Enhancing clients’ knowledge and skills acquisition for effective community re-integration by

2022

With funding from Aham Group through Hospitaal Broeders, Netherlands in 2019 we procured

equipment and resources to implement rehabilitation and prevocational skills programme for

clients recuperating from mental illness at The Anton Martin Rehabilitation Centre in Lilongwe.

The centre, that has six workshops i.e. for home management, tailoring and design, beauty and

hairdressing, carpentry and horticulture, group therapy room, sports gym; computer room,

offices and staff room. The centre is well equipped to facilitate client’s skills acquisition and

various forms of therapy.

We also trained eleven members of staff i.e six rehabilitation assistants and five nurses in basic

prevocational skills facilitation with the aim of equipping them with knowledge on

Competence-Based Education and Training (CBET). These members of staff facilitate various

rehabilitation programmes using developed training manuals. See pictures below;

1.9 Establishment of Molinos addiction recovery programme in Lilongwe.

In 2019, we established and commenced addiction recovery services at our new Molinos

Centre in Lilongwe. In the first quarter of the year we worked on operational documents and

standards for the Centre and procured necessary resources in second and third quarter, 2019.

We also facilitated on job training for all members of staff involved in the programme in the

third quarter. We placed one nurse, a social worker, three rehabilitation assistants, and

psychosocial counselor at Venegas Centre in Mzuzu for an orientation in addiction recovery

program in Mzuzu for two months.

The Molinos addiction recovery Centre opened for services on 3rd October 2019. The Centre

facilitated two sessions with 23 clients in the fourth quarter of 2019. 21 clients successfully

completed the sessions while two dropped out during the early stages. First cohort had ten

clients while the second had thirteen clients.

Figure 25: The Molinos addiction recovery unit

Human Resources

a) Staff training

In the year, we continued facilitating various long term staff training as follows:

Table 2: External staff trainings

Name of staff

Course and University Comment

Devlin Ndumanene Silungwe PhD, California Southern

University

In Progress

Mwawi Ng’oma PhD Public Mental Health,

College of Medicine,

University of Malawi

In Progress

Dr Saulos Gondwe Masters in Medicine -

Psychiatry

Registered Psychiatrist –

University of Cape Town -

Republic of South Africa

Completed and has taken up

the position of Director of

Clinical Services & Research

in Lilongwe

Tabitha Msukunika Dzoole Kings college of London,

Master of science in

Addiction studies- 2018-

2019

Completed

Chrispine Nthezemu Kamanga Stellenbosch University,

Master of Theology (Pastoral

Care and Counselling) 2017-

2019

Completed

a) Staffing Levels for the Service

The Service had the following members of staff in the year 2019: Jan Feb Mar Apr May Jun July Aug Sep Oct Nov Dec 292 291 288 286 285 295 307 301 304 315 315 314

Figure 26: Showing staffing levels for 2019

c) Volunteers within the Service

The Service had the following total number of volunteers in Self Help, Umoza, Child Development Centre and Saint John of God Centre. Jan Feb Mar Apr May Jun July Aug Sep Oct Nov Dec 35 35 35 37 37 37 37 37 37 37 37 37

Summary

Annual report Financial Statement Revenue:

Source of Funds 2019 2018

MK MK Hospitaller Service Group [Revenue allocation] 2,125,000,000 1,273,976,674

Hospitaller Service Group [Silver Jubilee for SJOG Malawi]

33,184,017 0

Stichting Internationale Orde van Hospital Broeders [Netherlands]

80,612,612 74,147,772

Pontifical Society 4,200,000 4,202,000 Research grants 0 35,003,020

270

275

280

285

290

295

300

305

310

315

320N

um

ber

of

Staf

f

Months

Government of the Republic of Malawi 490,635,388 411,731,328 Self Help project 14,768,060 15,658,000 Kindernothilfe V.e., Germany (gap funding) 118,871,320 0 Kindernothilfe V.e., Germany (Umoza & CDC projects) 73,401,590 103,693,686 Save the children Fund (IEECD) 82,512,615 0 Kindernothilfe V.e., Luxembourg 0 46,660,058 Sundry Income [JOG, Venture client fees, college fees, exchange gains etc]

119,005,336 841,989,645

Gross Income 3,142,190,938 2,807,062,183

Expenditure:

Details 2019 2018

MK MK Pay 1,134,303,239 1,041,828,234 Non-Pay 1,916,917,421 2,234,208,039

Gross Expenditure 3,051,220,660 3,276,036,273

HSG Capital grant 158,788,011 419,741,512

Challenges

1. High inflation leading to increasing cost of service delivery

2. Frequent power outage

3. Lack of psychotropic and antiepileptic medicines in public hospitals

4. Increasing need for mental health services in the central region

5. Service interruptions due to demonstrations following disputed 2019 elections

6. Aging vehicle fleet

7. High staff turnover especially in College and counselling department